• Eur. J. Intern. Med. · Mar 2024

    Review

    Metabolic Bariatric surgery in People with Obesity aged ≥65 Years.

    • Çalık BaşaranNurselNHacettepe University, Faculty of Medicine, Department of Internal Medicine, General Internal Medicine, Ankara, Türkiye. Electronic address: nurselcbasaran@gmail.com., Dana Marcoviciu, and Dror Dicker.
    • Hacettepe University, Faculty of Medicine, Department of Internal Medicine, General Internal Medicine, Ankara, Türkiye. Electronic address: nurselcbasaran@gmail.com.
    • Eur. J. Intern. Med. 2024 Mar 30.

    AbstractObesity management guidelines recommend metabolic bariatric surgery for individuals with body mass index (BMI) ≥35 kg/m2, regardless of the presence of any obesity-related comorbidity; and for individuals with BMI 30-34.9 kg/m2 with metabolic diseases. Older age is not in itself a contraindication for bariatric surgeries, which can be performed after careful selection and assessment, to decrease the risks of postoperative complications. An essential amount of data has accumulated about bariatric surgery results for persons aged ≥60 years; but data are limited though increasingly accumulating for the ≥65-year-old population. Laparoscopic Roux-en-Y-gastric bypass and sleeve gastrectomy have been the preferred bariatric procedures for older adults with obesity, as for younger patients. This review summarizes the safety and efficacy of bariatric surgery for individuals aged ≥65 years with obesity, and the efforts that have been invested to improve the perioperative and long-term consequences.Copyright © 2024 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

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